意識障害で発症し血液透析療法が奏効したエチレングリコール中毒の1例

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  • A case of ethylene glycol poisoning with severe metabolic acidosis and acute renal failure; successful treatment with continuous hemodiafiltration, hemodialysis and ethanol

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We report a case of ethylene glycol poisoning in a 64-year-old man, who was admitted because of severe clouding of consciousness. The results of laboratory tests on admission showed marked metabolic acidosis and hyperkalemia. We diagnosed ethylene glycol poisoning because of typical crystals in urine sediment. The patient was immediately given ethanol and started on continuous hemodiafiltration, followed by intermittent hemodialysis. We could save the life of this patient without persistent physical disturbance.

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